How much does Major hip/knee joint replacement, inpatient, w/ MCC cost in southwest-virginia?
CPT 469 — the fair price, every hospital's price, and the Medicare benchmark for southwest-virginia.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Sovah Health Martinsville (Martinsville) lowest | Hospital | $10,331cash | 0.5× | — |
| Twin County Regional Hospital (Galax) | Hospital | $13,539cash | 0.6× | ★★★★★ |
| Sovah Health Danville (Danville) | Hospital | $16,213cash | 0.7× | ★★★★★ hip/knee complications 4.4% |
| Wythe County Community Hospital (Wytheville) | Hospital | $22,398cash | 1.0× | ★★★★★ |
| Sentara Halifax Regional Hospital (South Boston) | Hospital | $23,196negotiated | 1.1× | ★★★★★ |
| Clinch Valley Medical Center (Richlands) gross charge | Hospital | $80,842cash | 3.7× | ★★★★★ |
What should 469 cost in southwest-virginia?
For Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469) in southwest-virginia, a fair self-pay price is around $16,213, with hospitals ranging from $12,737 to $37,608 across 6 facilities. Medicare's benchmark rate is $22,072, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does Major hip/knee joint replacement, inpatient, w/ MCC cost in southwest-virginia?
A fair self-pay price for Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469) in southwest-virginia is around $16,213, with hospital prices ranging from $12,737 to $37,608 across 6 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 469?
Medicare pays about $22,072 for Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of Major hip/knee joint replacement, inpatient, w/ MCC?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
Compare other procedures in southwest-virginia
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.